Please fill out the form below and submit it to us electronically or fill out and print off the fillable PDF form and send it to us (Karen Kenerson, Town of Newfield, 166 Main St, Newfield, NY 14867).

Name(required)

Email(required)

Address(required)

Phone Number(required)

Occupation/Place of Business(required)

Education(required)

Why are you interested in this position?(required)

What particular strengths would you bring to this position?(required)

Describe constraints you might have related to serving on the Planning Board.(required)

Relevant Experiences and Community Affiliations:(required)

Describe any experience you have had in organizing volunteers and chairing meetings(required)

Describe any experiences you have had conducting research, surveying a focus group of people and writing informative documents(required)

Describe any experiences you have had which could shed light on your communications skills.(required)

Describe experiences which demonstrate an ability work with people from diverse backgrounds and with differing points of view.(required)

Have you read the Newfields Comprehensive Plan?(required) Yes

No

By checking this box, I confirm that I have read the Planning Board Responsibilities and Information Sheet and believe I have the ability to fulfill the duties required of a Planning Board Member for the Town of Newfield(required)